Organization
BILLERICA CHIROPRACTIC OFFICE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONI KAWUT D.C. (PRESIDENT)
(978) 667-1932
Entity
Organization
Contact information
Practice address
25 BRIDGE ST, BILLERICA, MA 01821-1023
(978) 667-1932
Mailing address
25 BRIDGE ST, BILLERICA, MA 01821-1023
(978) 667-1932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714116
TUFTS
MA
01
—
Y39053
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/03/2006
Last updated
08/22/2020
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